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Organization
VELAZQUEZ-MONTES,DDS,PC
Active
Organization
VELAZQUEZ-MONTES,DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN R VELAZQUEZ DDS (OWNER)
(718) 898-6010
Entity
Organization
Contact information
Practice address
3745 75TH ST, BASEMENT OFFICE, JACKSON HEIGHTS, NY 11372-6425
(718) 898-6010
Mailing address
3745 75TH ST, BASEMENT OFFICE, JACKSON HEIGHTS, NY 11372-6425
(718) 898-6010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045312
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01458286
—
NY
05
—
01485987
—
NY
Enumeration date
06/20/2008
Last updated
06/20/2008
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